| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $473.49 | $473.49 | $802.35 | |
Medica
| Professional | $1,322.00 | $1,322.00 | $1,322.00 |
Elec Alys Nstim Pls Gen Cplx Dp Brn 1St Hr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $473.49 | $473.49 | $802.35 | |
Medica
| Professional | $1,322.00 | $1,322.00 | $1,322.00 |